Question

Recognizing Subjective and Objective Data and Nursing Diagnoses

A. The risk for Aspiration (Inhaling fluids) B. Fear, E,.activity Intolerance F. Ineffective Breathing Pattern C Anxiety D Risk for Impaired Skin Integrity G. Ineffective Airway Clearance H. Impaired Skin Integrity.

1. You are working on the Psychiatric Unit today. You go in to check on your patient and he says, “I feel so nervous and jumpy but I can’t explain why”. You notice that he is constantly tapping his fingers on his over bed table and doesn’t make eye contact when he talks to you.

      Of the above data, which is Objective?

      Of the above data, which is Subjective?

            Which Nursing Diagnosis would you

Answer 1

Subjective data

• Fear

Objective data

• Anxiety

Nursing Diagnosis

• The risk for Aspiration (inhaling fluid)
• Activity intolerance
• Ineffective breathing pattern
• Risk for impaired skin integrity
• Ineffective Airway Clearance
• Impaired skin integrity

Objective data:

• Jumping
• Taping fingers
• Lack of eye contact

Subjective data:

• Nervous

Nursing Diagnosis:

• Impaired sensory perception related to disease condition as evidenced by lack of eye contact,nervousness